| NPI | 1003297060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS J MILLER Licensed Professional Counselor 770-500-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008450) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |